Individual
MS. CARLY RAE MAROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
151 S 84TH ST, MILWAUKEE, WI 53214-1456
(414) 476-3710
Mailing address
4757 N 76TH ST, MILWAUKEE, WI 53218-4732
(414) 358-4167
(414) 358-5002
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16933-130
WI
104100000X
Social Worker
129904-121
WI
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
07/24/2025
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